Chris Johnson Therapy Services | |
536 E Juniper Ln Mustang OK 73064-4260 | |
(405) 535-6323 | |
Not Available |
Full Name | Chris Johnson Therapy Services |
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Speciality | Social Worker |
Location | 536 E Juniper Ln, Mustang, Oklahoma |
Authorized Official Name and Position | Christopher William Johnson (OWNER/OPERATOR) |
Authorized Official Contact | 4055356323 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Chris Johnson Therapy Services 536 E Juniper Ln Mustang OK 73064-4260 Ph: (405) 535-6323 | Chris Johnson Therapy Services 536 E Juniper Ln Mustang OK 73064-4260 Ph: (405) 535-6323 |
NPI Number | 1497311203 |
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Provider Enumeration Date | 05/16/2019 |
Last Update Date | 05/16/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497311203 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
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